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• Mortality (MI, CABG, COPD, CHF, PNA, CVA)*
• Safety of Care (CLABSI, CAUTI, SSI, MRSA BSIs, C diff, surgical
complications and PSIs)
• Readmission (unplanned readmissions)*
• Patient Experience (Patient Sat Surveys)
• Effectiveness of Care (Vaccination, Screening, Protocol Driven Care)
• Timeliness of Care (ED throughput, time to care for MI)
• Efficient Use of Imaging (Outpatient MRI, CT, and Stress Test Use)
• Dates of Data: July 1, 2013 – June 30, 2016
*Risk Adjusted Measure, with comorbidities affecting expected rate
Star Rating CMS Measure Components